Average Medicaid Office Visit Payments in Kalamazoo, MI: $46.58
Avg. Paid
$46.58
Range
$0.00 – $191.64
Total Claims
1,300,383
Providers
102
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Kalamazoo, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bronson Methodist Hospital
601 John Street |
$53.72 | 473,492 | 442,407 |
|
Family Health Center Inc
117 W Paterson Street |
$4.67 | 258,907 | 220,757 |
|
Western Michigan University School Of Medicine
1000 Oakland Dr |
$62.91 | 127,071 | 117,278 |
|
Ascension Medical Group Promed
1717 Shaffer St |
$54.47 | 106,870 | 102,391 |
|
Family Health Center, Inc.
505 E Alcott St |
$5.36 | 97,554 | 86,303 |
|
Kalamazoo County Community Mental Health Authority
615 E Crosstown Pkwy |
$146.02 | 71,096 | 66,050 |
|
Bronson Methodist Hospital
6220 W Main St |
$48.08 | 38,682 | 36,717 |
|
Victory Clinical Services Llc
401 Howard St |
$69.24 | 14,000 | 13,989 |
|
Ascension Medical Group Promed
1535 Gull Rd Ste 250 |
$40.30 | 12,717 | 12,080 |
|
West Michigan Cancer Center
200 N Park St |
$55.76 | 9,735 | 8,367 |
|
Yahya Bakdalieh
3025 Gull Rd |
$71.96 | 7,431 | 7,203 |
|
Western Michigan University
1903 W Michigan Ave |
$57.63 | 6,955 | 6,263 |
|
Interact Of Michigan, Inc
610 South Burdick St |
$78.02 | 5,778 | 5,514 |
|
Xiaorong Yan
1521 Gull Rd |
$84.99 | 5,284 | 4,388 |
|
Jason Mechenbier
6220 W Main St Ste B |
$59.47 | 4,857 | 4,796 |
|
Paragon Health, Pc
521 E Michigan Ave |
$67.73 | 4,499 | 4,457 |
|
Paragon Health, P.C.
1535 Gull Rd |
$52.22 | 3,364 | 3,286 |
|
Paragon Health Pc
2889 S 11Th St |
$53.85 | 3,154 | 3,090 |
|
Michael Robert Mcbride
1535 Gull Rd |
$75.92 | 2,682 | 2,249 |
|
Jami Adair Knox
601 John St Ste E-352 |
$8.22 | 2,568 | 2,393 |
|
Christine Lynn Romack
601 John St Ste M-170 |
$46.87 | 2,564 | 1,962 |
|
Advanced Medical Management Services Inc
3125 W Main St |
$78.53 | 2,261 | 1,527 |
|
Amanda Siegel
5569 Grassy Meadows Ave |
$29.55 | 2,179 | 2,117 |
|
Meredith Marie Ulmer
8088 Vineyard Pkwy |
$53.27 | 2,177 | 1,956 |
|
Vision Eye Care
123 S Westnedge Ave |
$82.43 | 2,036 | 2,010 |
|
Paragon Health, Pc
1815 Henson Ave |
$45.11 | 1,904 | 1,822 |
|
Muhammad Imran
1521 Gull Rd |
$47.34 | 1,876 | 1,675 |
|
Preeti Borgohain
1000 Oakland Dr |
$9.39 | 1,763 | 1,635 |
|
Steven Thomas Wiles
5629 Stadium Dr Ste A |
$63.72 | 1,312 | 1,200 |
|
Joanna Lynn Gendreau
8132 Turning Stone Trl |
$87.12 | 1,152 | 1,107 |
|
Case Management Of Michigan, Inc.
5340 Holiday Ter Ste 9 |
$69.35 | 1,015 | 1,003 |
|
Alison Collins
1535 Gull Rd |
$28.59 | 974 | 526 |
|
Emily Elizabeth Bunce
601 John St Ste N1100 |
$36.23 | 932 | 797 |
|
Christina Nichole Farrell
6220 W Main St Ste B |
$191.64 | 929 | 898 |
|
Kalamazoo Anesthesiology P C
900 Peeler St |
$37.85 | 903 | 893 |
|
Paragon Health Pc
714 N 9Th St |
$62.02 | 892 | 829 |
|
West Michigan Medical Pc
6565 W Main St |
$32.47 | 891 | 850 |
|
Tahira Jabeen
610 S Burdick St |
$52.40 | 793 | 607 |
|
Daiva Olipra
1000 Oakland Dr |
$67.57 | 790 | 675 |
|
Michael S Mattia
1000 Oakland Dr |
$75.19 | 790 | 736 |
|
Clay Hugh Joseph Mishler
1000 Oakland Dr |
$112.20 | 754 | 696 |
|
Alexis Anne Mayhew
601 John St Ste N1200 |
$14.60 | 728 | 599 |
|
David K Arenstein
1000 Oakland Dr |
$44.04 | 724 | 658 |
|
Katherine Alizo
8088 Vineyard Pkwy |
$90.24 | 717 | 616 |
|
Alta J. Deroo
1521 Gull Rd |
$30.58 | 698 | 498 |
|
Sarah Grace Ray
1000 Oakland Dr |
$68.74 | 693 | 674 |
|
Rx Optical Laboratories, Inc.
1700 S Park St |
$39.80 | 692 | 673 |
|
Jonathan M Deming
1212 S Park St Ste 1 |
$23.44 | 689 | 468 |
|
Westside Family Medical Center, Pc
6565 W Main St |
$50.96 | 665 | 608 |
|
Denisha Ann Pierman
125 S Kalamazoo Mall |
$0.65 | 647 | 438 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Kalamazoo, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kalamazoo, MI is $46.58 per claim, based on 1,300,383 claims from 102 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Kalamazoo, MI?
There are 102 Medicaid providers offering Office Visit related services in Kalamazoo, MI according to public payment data.
What is the price range for Office Visit in Kalamazoo, MI?
Medicaid reimbursement for Office Visit in Kalamazoo, MI ranges from $0.00 to $191.64 per claim, with an average of $46.58. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Kalamazoo, MI
Blood Work & Lab Tests
Avg $5.52
1,338,243 claims
Substance Abuse Treatment
Avg $22.55
1,148,823 claims
Emergency Room Visit
Avg $95.58
1,136,532 claims
Psychiatric Evaluation
Avg $75.96
559,338 claims
Vaccines & Immunizations
Avg $7.25
440,882 claims
Physical Therapy
Avg $22.98
378,641 claims
Case Management Services
Avg $189.11
334,161 claims
X-Ray
Avg $16.53
313,763 claims